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it <br /> FIELD SERVICES REQUEST <br /> SITE INFORMATION FORM <br /> Identification Protect Type Check Apgrognate Cafegonr <br /> Project# 7GO07-032-01 task 1 ® Operation & Maintenance ® Budget Site Visit <br /> Station ID # Chevron 9-4275 ❑ Sampling ❑ Out of Budget Site Visit <br /> Site Address 2905 Benjamin Holt Drive ❑ 1st time visit <br /> Stockton, CA ❑ Quarterly Budget Hours 4 <br /> Lab_ Sequoia, SO#9030619 ❑ 1st ❑ 2nd ❑ 3rd ❑ 4th Actual Hours <br /> County San Joaquin _ ❑ Monthly Mob de Mob 2 <br /> Project Manager Rusty E Benkosky ® Semi-Monthly <br /> Requester ❑ Weekly Site Safety Concerns <br /> Client Chevron Products Company ❑ One time event <br /> Client P O C Brett Hunter ❑ Other <br /> Date of Request -Qiti1WW Ideal field date 1a� <br /> Field Tasks General Descrt tion <br /> 1) Sample system to following schedule <br /> Wells Inti Eff <br /> l <br /> TPH-g/BTEX/MtBE M M <br /> FID M M M <br /> 2 Complete data sheet <br /> 3) Gather well field data (FID, flow rate, vacuum) <br /> 4) Call site engineer before leaving site <br /> Q = Quarterly M = Monthly ` = When dilution valve is open <br /> Comments remarks from field staff <br /> 9 tow Q/1' <br /> S' eC O <br /> Completed By Date Sji ! 98 SECOR International Incorporated <br />